Gothner Martin, Citak Mustafa, Schildhauer Thomas A, Roetman Bernd
Department of General and Trauma Surgery, BG-University Hospital Bergmannsheil, Ruhr-University Bochum, Germany.
Acta Orthop Belg. 2011 Dec;77(6):853-7.
Aneurysmal bone cysts are often localized in long bones of the lower extremity and are characterized by aggressive expansion with local destruction of bone. We present the case of a 14-year-old female patient with a two weeks history of low dorsal pain. Computerized tomography (CT) scan of the spine showed local destruction of the 10th thoracic vertebra and magnetic resonance imaging (MRI) revealed a 50 percent compression of the spinal cord. The partly septated and partly solid cystic tumour in the 10th thoracic vertebra was resected and a dorsal spondylodesis stabilised the thoracic spine. Aneurysmal bone cyst should be considered in the differential diagnosis of unspecific pain of the spine. Follow-up examinations after three, five and twelve months did not show signs of recurrence.
骨囊肿常位于下肢长骨，其特征为侵袭性扩张并伴有局部骨质破坏。我们报告一例14岁女性患者，有两周下背部疼痛病史。脊柱计算机断层扫描（CT）显示第10胸椎局部骨质破坏，磁共振成像（MRI）显示脊髓受压50%。切除了第10胸椎部分分隔、部分实性的囊性肿瘤，并进行了后路脊柱融合术以稳定胸椎。在脊柱非特异性疼痛的鉴别诊断中应考虑骨囊肿。术后3个月、5个月和12个月的随访检查未显示复发迹象。
